The World Bank pioneered global HIV and AIDS financing early in the emergency and remains committed to achieving Millennium Development Goal 6, to halt by 2015 and begin to reverse the spread of HIV and AIDS, through prevention, care, treatment, and mitigation services for those affected by HIV and AIDS.
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Ratings for the HIV/AIDS Global
Mitigation Support Project for Guinea Bissau were as
follows: outcomes were unsatisfactory, the risk to
development outcome was high,... Show More + the Bank performance was
unsatisfactory, and the Borrower performance was also
unsatisfactory. Some lessons learned included: in fragile
and post-conflict countries, as was the case in
Guinea-Bissau, project objectives and design need to be as
simple and modest as possible. A multi-sectoral HIV/AIDS
project, especially in an environment of weak capacity,
should target sectors and population segments with the
largest potential impact. Although awareness raising and
sensitization of the population are welcome, given limited
resources and institutional capacity, a better strategy will
be to focus mitigation and communication efforts on
population groups that are most vulnerable and that play a
greater role in spreading HIV/AIDS. An adequate baseline and
functioning monitoring and evaluation (M&E) system are
essential in projects that are piloting new approaches, such
as the first round of the Multi-Country HIV/AIDS Program
(MAP) interventions. Although development of the M&E
system was planned during implementation, it suffered
delays, remains weak and is still lacking an appropriate
baseline. While some of the problems were unforeseen (health
of the consultant, weak and delayed support from United
Nation (UN) partners), corrective actions and alternatives
need to be considered and prioritized. Show Less -

The umbrella restructuring for the
Sub-Saharan Multi Country HIV/AIDS Program would eliminate
prevalence as a development objective indicator and refocus
new objectives... Show More + towards HIV/AIDS prevention, care/treatment
and mitigation interventions at the country level. National
responses would focus on improving monitoring and evaluation
capacity, realigning indicators to national strategies,
funding priority interventions as well as setting-up better
coordinated institutional arrangements. Several projects are
to be presented to the board separately, these projects and
their descriptions are provided in this report. Show Less -

The HIV/AIDS Global Mitigation Support
Project will support the Government in mainstreaming program
activities to all Ministries, Departments and Agencies, and
other... Show More + non-health Government agencies, at national and local
levels, and making better use of community and civil society
organizations, such as churches, trade unions, and private
businesses, and, be a catalyst in helping the Government
obtain resources to fight HIV/AIDS, Tuberculosis, and
Malaria. The focus will be on basic infrastructure
development, and human resources for an expanded, and
multi-sectoral response, knowledge sharing, and systems
strengthening. The community and civil society initiatives,
and capacity building component, will focus on social
mobilization and community responsiveness to HIV/AIDS. Funds
will prod the expansion and strengthening of HIV/AIDS
activities among community-based organizations, and civil
society associations, including nongovernmental
organizations (NGOs), and private sector entities. Groups
receiving funds include: persons living with HIV/AIDS,
hospital workers, orphans, youth, commercial sex workers,
and truck drivers, and the most vulnerable groups. The
second component will comprise a fund to scale up, and
strengthen prevention, care, support and mitigation of the
social and economic impact of HIV/AIDS, through
programs/activities of the public sector. It will support
public sector institutions in protecting their own personnel
from the impact of HIV/AIDS. The institutional development
for program management component, will support the National
AIDS Council (NAC), and the Secretariat (NAS) in NAC's
advocacy, and leadership for the multi-sectoral response to
HIV/AIDS, namely through a semiannual, one-day information
workshop, whereas coordination mandate, technical support,
financial management, and monitoring and evaluation, will be
provided to NAS. Project management will further support
incremental operating costs, and capacity building activities. Show Less -